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  1. Common general surgical never events: analysis of NHS England never event data. | PSNet

    psnet.ahrq.gov/issue/common-general-surgical-never-events-analysis-nhs-england-never-event-data
    April 14, 2021 - Study Common general surgical never events: analysis of NHS England never event data. Citation Text: Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045.…

  2. Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
    April 10, 2024 - Study Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. Citation Text: Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…

  3. Refocusing the lens: patient safety in ambulatory chronic disease care. | PSNet

    psnet.ahrq.gov/issue/refocusing-lens-patient-safety-ambulatory-chronic-disease-care
    December 19, 2018 - Commentary Classic Refocusing the lens: patient safety in ambulatory chronic disease care. Citation Text: Sarkar U, Wachter R, Schroeder SA, et al. Refocusing the lens: patient safety in ambulatory chronic disease care. Jt Comm J Qual Patient Saf. 2009;35(7):377…

  4. Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated-reduced-patient
    April 10, 2024 - Review Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. Citation Text: Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams i…

  5. Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. | PSNet

    psnet.ahrq.gov/issue/strengths-and-weaknesses-working-global-trigger-tool-method-retrospective-record-review-focus
    March 24, 2012 - Study Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members. Citation Text: Schildmeijer K, Nilsson L, Perk J, et al. Strengths and weaknesses of working with the Global Trigger Tool method for r…

  6. Diagnostic performance dashboards: tracking diagnostic errors using big data. | PSNet

    psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
    July 28, 2023 - Commentary Diagnostic performance dashboards: tracking diagnostic errors using big data. Citation Text: Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945.…

  7. Frequency and nature of communication and handoff failures in medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims
    June 22, 2022 - Study Frequency and nature of communication and handoff failures in medical malpractice claims. Citation Text: Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137. doi:10.…

  8. Eliminating explicit and implicit biases in health care: evidence and research needs. | PSNet

    psnet.ahrq.gov/issue/eliminating-explicit-and-implicit-biases-health-care-evidence-and-research-needs
    May 11, 2016 - Review Eliminating explicit and implicit biases in health care: evidence and research needs. Citation Text: Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/…

  9. Interventions for reducing wrong-site surgery and invasive procedures. | PSNet

    psnet.ahrq.gov/issue/interventions-reducing-wrong-site-surgery-and-invasive-procedures
    September 07, 2011 - Review Interventions for reducing wrong-site surgery and invasive procedures. Citation Text: Algie CM, Mahar RK, Wasiak J, et al. Interventions for reducing wrong-site surgery and invasive clinical procedures. Cochrane Database Syst Rev. 2015;3)(3):CD009404. doi:10.1002/14651858.CD009404…

  10. Communication disparities between nursing home team members. | PSNet

    psnet.ahrq.gov/issue/communication-disparities-between-nursing-home-team-members
    May 25, 2022 - Study Communication disparities between nursing home team members. Citation Text: Farrell TW, Butler JM, Towsley GL, et al. Communication disparities between nursing home team members. Int J Environ Res Public Health. 2022;19(10):5975. doi:10.3390/ijerph19105975. Copy Citation Form…

  11. Implementing universal suicide risk screening in a pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/implementing-universal-suicide-risk-screening-pediatric-hospital
    May 12, 2021 - Study Implementing universal suicide risk screening in a pediatric hospital. Citation Text: Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001.…

  12. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. | PSNet

    psnet.ahrq.gov/issue/transitions-one-electronic-health-record-another-challenges-pitfalls-and-recommendations
    March 17, 2021 - Review Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Citation Text: Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;1…

  13. Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/patient-perspectives-use-artificial-intelligence-skin-cancer-screening-qualitative-study
    October 19, 2022 - Study Emerging Classic Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. Citation Text: Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin can…

  14. Racism in health services for adolescents: a scoping review. | PSNet

    psnet.ahrq.gov/issue/racism-health-services-adolescents-scoping-review
    July 19, 2023 - Review Racism in health services for adolescents: a scoping review. Citation Text: Hilario C, Louie-Poon S, Taylor M, et al. Racism in health services for adolescents: a scoping review. Int J Soc Determinants Health Health Serv. 2023;53(3):343-353. doi:10.1177/27551938231162560. Copy C…

  15. Production pressure and its relationship to safety: a systematic review and future directions. | PSNet

    psnet.ahrq.gov/issue/production-pressure-and-its-relationship-safety-systematic-review-and-future-directions
    August 25, 2021 - Review Production pressure and its relationship to safety: a systematic review and future directions. Citation Text: Hashemian SM, Triantis K. Production pressure and its relationship to safety: a systematic review and future directions. Safety Sci. 2023;159:106045. doi:10.1016/j.ssci.20…

  16. Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet

    psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
    October 31, 2023 - Commentary Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. Citation Text: Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not received timely, quality palliative ca…

  17. Impact of implementing alerts about medication black-box warnings in electronic health records. | PSNet

    psnet.ahrq.gov/issue/impact-implementing-alerts-about-medication-black-box-warnings-electronic-health-records
    July 10, 2008 - Study Impact of implementing alerts about medication black-box warnings in electronic health records. Citation Text: Yu DT, Seger DL, Lasser KE, et al. Impact of implementing alerts about medication black-box warnings in electronic health records. Pharmacoepidemiol Drug Saf. 2011;20(2):1…

  18. Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/acute-care-nurses-perceptions-leadership-teamwork-turnover-intention-and-patient-safety-mixed
    September 16, 2015 - Study Acute care nurses' perceptions of leadership, teamwork, turnover intention and patient safety - a mixed methods study. Citation Text: Zaheer S, Ginsburg LR, Wong HJ, et al. Acute care nurses’ perceptions of leadership, teamwork, turnover intention and patient safety – a mixed metho…

  19. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. | PSNet

    psnet.ahrq.gov/issue/designing-human-centered-ai-prevent-medication-dispensing-errors-focus-group-study
    August 31, 2022 - Study Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. Citation Text: Zheng Y, Rowell B, Chen Q, et al. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. JMIR Form Res. 2023;7:e…

  20. Completion of recommended tests and referrals in telehealth vs in-person visits. | PSNet

    psnet.ahrq.gov/issue/completion-recommended-tests-and-referrals-telehealth-vs-person-visits
    January 31, 2024 - Study Completion of recommended tests and referrals in telehealth vs in-person visits. Citation Text: Zhong A, Amat MJ, Anderson TS, et al. Completion of recommended tests and referrals in telehealth vs in-person visits. JAMA Netw Open. 2023;6(11):e2343417. doi:10.1001/jamanetworkopen.20…
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